Five episodes of Kawasaki disease within 2 years：a case report
10.3969/j.issn.1000-3606.2016.10.010
- VernacularTitle:儿童2年内川崎病多次复发1例报告
- Author:
Shan LU
- Publication Type:Journal Article
- Keywords:
recurrent Kawasaki disease;
clinical feature;
child
- From:
Journal of Clinical Pediatrics
2016;34(10):753-754,760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore multiple recurrence of Kawasaki disease (KD).Methods The clinical data of one child with multiple recurrent KD in two years was retrospectively analyzed.Results A four-year boy had his ifrst episode of classic KD without coronary artery abnormality at 2 years old. He had since had four episodes incomplete KD within 2 years, all of which were manifested by fever accompanied with neck lymph node swelling, bilateral conjunctival congestion, red and chap lips and strawberry-like tongue. White blood cell count, C reaction protein, and erythrocyte sedimentation rate were all increased. No purulent changes of cervical lymph nodes were detected by ultrasound. After intravenous infusion with high doses of gamma globulin, the fever was brought down, and the duration of fever was 6~8 d. The fever free intervals between 2 adjacent episode were about 2.5, 1.5, 4.5, and 13.5 months. The clinical manifestations and genetic test results were not consistent with the periodic fever, aphthous stomatitis, pharyngitis, and cervical lymphadenitis syndrome (PFAPA).Conclusion Five episodes of KD within 2 years are rare and a long-term follow-up is warranted.
